| NPI | 1194342535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009159) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 009159) |
| 152WP0200X Optometrist, Pediatrics (Licence: NY 009159) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-04-23 |